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Diabetes, adrenal insufficiency, thyroid disease nov-2007

2.
Diabetes
”Overview”
Diabetes mellitus is of great importance to dentists
 Detect new case of diabetes
 Render dental care to diabetic patients without
endangering their well being
 Recognize the level of severity and glycemic
control and the presence of complications from
diabetes to consequently manage the patient
accordingly.

5.
Diabetes
Incidence & Prevalence
A dental practice serving an adult
population of 2000 can expect to
encounter about 120 persons with
diabetes.
50% of these patients are unaware of
their condition.

6.
Diabetes
Etiology
 The genetic role in type 2 diabetes is much
greater than type 1.
 Obesity plays an important part in the cause of
type 2.
 Type 1 has a sudden onset mainly found under
age 40.
 Type 2 generally occurs after age 40 in obese
individuals.

21.
Adrenal Insufficiency
Dental Management
Dental treatment of a patient with
undiagnosed adrenal insufficiency should
be delayed until the patient is medically
stabilized
No treatment modifications are required for
medically stable adrenal disorders

22.
Thyroid Disease
A patient of thyroid disease is of concern to the
dentist
 The dentist may detect early signs and
symptoms (disease or tumor).
 Pt. with untreated thyrotoxicosis may be in
danger if the dentist performs surgical or
operative procedures.